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1760848626
AMANDA MARDIS
PALM DESERT, CA
NPI
1760848626
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CA OTA 3174)
Enumeration Date
2016-01-07
Last Update Date
2016-01-07
Business Address
-- AMANDA MARDIS COTA
77564 COUNTRY CLUB DR 340
PALM DESERT, CA 92211-0484
Phone number: 760-722-2838
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Mailing Address
-- AMANDA MARDIS COTA
77564 COUNTRY CLUB DR 340
PALM DESERT, CA 92211-0484
Phone number:
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